| NPI | 1871811471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP443603) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0007367) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |